Relationship Between Service Effectiveness and Satisfaction Among Persons Receiving Medicaid Mental Health Services

Rohland, Barbara M.; Langbehn, Douglas R.; Rohrer, James E.

doi:10.1176/appi.ps.51.2.248

Cited by 32 publications

(20 citation statements)

References 8 publications

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“…This may be related to the nature of the comprehensive drug dependence treatment program in Institute of Psychiatry-Ain Shams University, that was funded for prevention and treatment of addiction under the Ministry of Social Affairs in collaboration the hotline service with the help of an expert team of senior psychiatrists, psychologists and social workers whom adding more therapeutic benefits to the clients' treatment experience [31]. In line with our results most studies have found that patients with drug dependence appreciate the different treatment options, like family counseling, individual psycho-education and group therapy, appropriate frequency and length of appointments [32][33][34]. These components are emphasized in the psychiatric outpatient specialized clinics, and may have contributed to higher satisfaction.…”

Section: Discussionsupporting

confidence: 79%

Satisfaction with Ain Shams outpatient mental health services

Shorub¹,

Rasas²,

Kalifa³

2015

Middle East Current Psychiatry

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BackgroundPatient satisfaction with mental health services is an important issue, which influences multiple areas, including treatment response, outcome and quality of life. In Egypt, assessment of service quality in mentally ill patients has been relatively limited, and no national statistical studies exist on the real quality of outpatient services. ObjectivesTo assess patients' satisfaction with different psychiatric diagnoses in outpatient psychiatric clinic; and to evaluate its association with treatment setting, patient sociodemographic and clinical variables. Methods A cross sectional study, based on semi-structured interview, was used to assess 206 mentally ill patients with different psychiatric diagnoses recruited from the Outpatient Clinic of the Psychiatric Institute, Ain Shams University Hospital, Egypt. The assessment tools included: SCID-CV, the CSQ-8 client satisfaction questionnaire, and twelve questions including treatment setting items. ResultsThe global satisfaction rate was high (50% satisfied and 32.8% very satisfied). Reasons for greater satisfaction were careful listening of doctors to patient complaints, adequate information given by doctors, dealing of medical team, and satisfaction with duration of examination. Patient satisfaction was strongly and positively correlated with doctors' hearing patient complaints, duration of waiting time, site of medical service, system of hospital follow-up, waiting areas and negatively correlated with disease relapses. While other clinical and demographic factors did not correlate with client satisfaction. However, in regression analyses, the duration of waiting in the clinic, and the number of disease relapses, were the most important determinants of service satisfaction. Conclusion Satisfaction of psychiatric outpatients is relatively high and significantly related to the patient's waiting time and number of disease relapse.

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Section: Discussionsupporting

confidence: 79%

Satisfaction with Ain Shams outpatient mental health services

Shorub¹,

Rasas²,

Kalifa³

2015

Middle East Current Psychiatry

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“…In 2000, Rohland et al examined American Medicaid patients to determine the relationship between mental health service satisfaction, SRMH, and life satisfaction. The authors found correlations between all three variables for people with schizophrenia but not for those with affective, anxiety or adjustment disorders [51]. Follow-up study is needed to clarify the relationship between service satisfaction and SRMH amongst groups of differing diagnoses to identify whether other variables could be responsible for this effect.…”

Section: Resultsmentioning

confidence: 99%

Single item measures of self-rated mental health: a scoping review

Ahmad

Jhajj²,

Stewart

et al. 2014

BMC Health Serv Res

335

275

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BackgroundA single-item measure of self-rated mental health (SRMH) is being used increasingly in health research and population health surveys. The item asks respondents to rate their mental health on a five-point scale from excellent to poor. This scoping study presents the first known review of the SRMH literature.MethodsElectronic databases of Medline, CINAHL, PsycINFO, EMBASE and Cochrane Reviews were searched using keywords. The databases were also searched using the titles of surveys known to include the SRMH single item. The search was supplemented by manually searching the bibliographic sections of the included studies. Two independent reviewers coded articles for inclusion or exclusion based on whether articles included SRMH. Each study was coded by theme and data were extracted about study design, sample, variables, and results.ResultsFifty-seven studies included SRMH. SRMH correlated moderately with the following mental health scales: Kessler Psychological Distress Scale, Patient Health Questionnaire, mental health subscales of the Short-Form Health Status Survey, Behaviour and Symptom Identification Scale, and World Mental Health Clinical Diagnostic Interview Schedule. However, responses to this item may differ across racial and ethnic groups. Poor SRMH was associated with poor self-rated health, physical health problems, increased health service utilization and less likelihood of being satisfied with mental health services. Poor or fair SRMH was also associated with social determinants of health, such as low socioeconomic position, weak social connections and neighbourhood stressors. Synthesis of this literature provides important information about the relationships SRMH has with other variables.ConclusionsSRMH is associated with multi-item measures of mental health, self-rated health, health problems, service utilization, and service satisfaction. Given these relationships and its use in epidemiologic surveys, SRMH should continue to be assessed as a population health measure. More studies need to examine relationships between SRMH and clinical mental illnesses. Longitudinal analyses should look at whether SRMH is predictive of future mental health problems.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6963-14-398) contains supplementary material, which is available to authorized users.

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“…The association between health status, health outcomes and patient satisfaction is well documented both in general (Crow et al, 2002) and in relation to mental health (Cohen, 1996;Rohland, Langbehn, & Rohrer, 2000). When asked to rate their general mental health, the patients who reported better health were most satisfied with the treatment provided.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric outpatients' experiences with specialized health care delivery. A Norwegian national survey

Oltedal

Garratt

Johannessen

2007

Journal of Mental Health

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Background: The measurement of patient experiences and satisfaction is recognized as an important component of health care evaluation, quality indicators, and performance. Aim: To identify factors of importance for perceived patient experiences among psychiatric outpatients. Methods: A validated questionnaire was administered as part of a postal survey of 15,422 adult outpatients attending psychiatric outpatient clinics across Norway. Results: 6,677 (43.3%) responded to the survey. Analyses identified significant differences in patients' experiences related to age, gender, education, native language and daily activities. Regression analysis explained 71% of the variance in patient experiences. The three most important predictors of better experiences accounting for 45% of this variation were whether patients could influence the assignment of their own therapist, politeness and respect from the clinical staff and health professionals' cooperation with the patient's family. Conclusions: Patient-centeredness and staff conduct were identified as the most important aspects of health care delivery that should be considered by outpatient clinics wishing to improve patients' experiences of care. Declaration of interest: None.

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Relationship Between Service Effectiveness and Satisfaction Among Persons Receiving Medicaid Mental Health Services

Cited by 32 publications

References 8 publications

Satisfaction with Ain Shams outpatient mental health services

Satisfaction with Ain Shams outpatient mental health services

Single item measures of self-rated mental health: a scoping review

Psychiatric outpatients' experiences with specialized health care delivery. A Norwegian national survey

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